Organization Active NPI

Miracle Making Ministries, Inc.

  • Public Health or Welfare Agency
  • Augusta, GA
National Provider Identifier
1437259785
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
MIRACLE MAKING MINISTRIES, INC.
Doing business as
Druid Park Community Health
Practice address
1127 Druid Park Ave
Augusta, GA 30904-5849
Phone
(706) 722-8693
Fax
(706) 722-8695
NPI assigned
Sep 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robert L Williams
Title
Executive Director
Phone
(706) 722-8693

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

1127 Druid Park Ave
Augusta, GA 30904-5849

Mailing address

PO Box 10044
Augusta, GA 30903-2644
Phone (706) 722-8693

Other names 1

  • Druid Park Community Health Doing business as

National Provider Directory

National Provider Directory

Locations

1127 Druid Park Ave
Augusta, GA 30904
Phone (706) 364-6485

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437259785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10044",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309032644",
            "telephone_number": "706-722-8693",
            "fax_number": "706-722-8695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 DRUID PARK AVE",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309045849",
            "telephone_number": "706-722-8693",
            "fax_number": "706-722-8695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE MAKING MINISTRIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "706-722-8693"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Druid Park Community Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.